New Client Intake Packets

Welcome to Charis Counseling Services of Northeast Michigan, PLLC! Congratulations on taking a step toward improved wellness for yourself and/or your family. As we understand that participating in therapy for the first time can be stressful, we want to inform you of what to expect at your first appointment at Charis.

There is a significant amount of information that MUST be gathered prior to your first appointment. In an effort to minimize person-to-person contact, we ask that you complete your intake packet online 72 hours in advance of your appointment through our HIPAA compliant form system. If you are unable to complete the paperwork online, please notify your therapist 72 hours in advance of your appointment so they can have an intake packet ready for you to complete in the office. You will need to arrive 45 minutes early to complete the packet. Your appointment will need to be rescheduled if the intake packet has not been filled out. It helps your therapist understand more about the reasons that you are seeking counseling. Here are the web links to fill out your new client information:

Adult Intake Packet

Please click on each web link to fill out each form:

Your therapist will be notified as each form is completed.  If you have any questions or concerns, please do not hesitate to contact us at (989) 340-1466 ext 0, or via email at clericalsupport@charisnemi.org

Parent/Teen Intake Packet

Please click on the following web links to be taken to each form.  Your teen should fill out the form "Intake Questionnaire-Teen".

Your therapist will be notified as each form is completed.  If you have any questions or concerns, please do not hesitate to contact us at (989) 340-1466 ext 0, or via email at clericalsupport@charisnemi.org

Child Intake Packet

Please click on each web link to fill out each form:

Your therapist will be notified as each form is completed.  If you have any questions or concerns, please do not hesitate to contact us at (989) 340-1466 ext 0, or via email at clericalsupport@charisnemi.org

Couple Intake Packet

Please click on each weblink to fill out each form: Each Partner should fill out the couple intake questionnaire.  One partner should fill out the registration form and one should fill out the Partner Consent for Treatment

Your therapist will be notified as each form is completed.  If you have any questions or concerns, please do not hesitate to contact us at (989) 340-1466 ext 0, or via email at clericalsupport@charisnemi.org

Coparenting Intake Packet

Please click on the following web links to be taken to each form.  Each coparent should fill out a set of forms.

  • Coparent Registration and Treatment Consent

  • Coparent Questionnaire

 

Charis Counseling Services   

  of Northeast Michigan, PLLC

(989) 340-1466

(989) 538-8790

Physical Address:

311 N. 2nd Ave

Alpena, MI . 49707

Mailing Address:

P.O. Box 586

Alpena,  MI 49707

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